LEVAN PLACE (NPI# 1851624910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851624910 |
| Entity Type | Organization |
| Organization Name | LEVAN PLACE |
| Practice Address |
4278 Ashland Rd Reidsville NC 27320-0509 |
| Mailing Address |
Po Box 393 Reidsville NC 27323-0393 |
| Practice Telephone | 3365207687 |
| Mailing Telephone | 3365207687 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2010-06-07 |
| Authorized Official Name | WENDY PAUL (BOARD SECRETARY) |
| Authorized Official Telephone | 3365207687 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
4278 ASHLAND RD |
| City | REIDSVILLE |
| State | NC |
| Zip Code | 27320-0509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1538796966 | Dabney Varner Porter | Speech-Language Pathologist | 613 S. Main St., Reidsville, NC 27320 | 2020-03-25 |
| 1053868463 | Marlon Nolen | Social Worker | 425 Nc-65, Reidsville, NC 27320 | 2016-09-01 |
| 1659741346 | Gepernard Tania Polidor | Social Worker | 405 Nc-65, Reidsville, NC 27320 | 2015-10-07 |
| 1548687064 | Angel Allen | Skilled Nursing Facility | 255 Penn Lake Dr, Reidsville, NC 27320 | 2014-03-21 |
| 1801234844 | Remmsco | Substance Abuse Rehabilitation Facility | 106 N. Franklin St, Reidsville, NC 27320 | 2013-06-12 |
| 1861733669 | The Free Clinic of Rockingham County, Inc | Clinic/Center | 315 S. Main Street, Reidsville, NC 27320 | 2013-03-05 |
| 1396094173 | Helen Elizabeth Brooks | Nurse Practitioner | 502 South Scales Street, Reidsville, NC 27320 | 2012-09-07 |
| 1952650327 | Ashlee Place | Assisted Living Facility | 538 Warriner Street, Reidsville, NC 27320 | 2012-08-31 |
| 1558638536 | Tracey Caroline Cook | Pharmacist | 1623 Way, Reidsville, NC 27320 | 2011-11-19 |
| Find all providers in zip 27320 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548319247 | John & Jennerine Enterprise, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3008 Nc Highway 150, Reidsville, NC 27320-8112 | 2007-01-10 |
| 1043438401 | Rockingham Opportunities Corp | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 342 Cherokee Camp Rd, Reidsville, NC 27320-8888 | 2007-04-23 |
| 1770701138 | Rockingham Opportunities Corp | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 342 Cherokee Camp Rd, 342 Cherokee Camp Road, Reidsville, NC 27320-8888 | 2007-04-23 |
| 1487872842 | Rockingham Opportunities Corp | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 342 Cherokee Camp Rd, Reidsville, NC 27320-8888 | 2007-04-23 |
| 1295953651 | Rockingham Opportunities Corp | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 342 Cherokee Camp Rd, Reidsville, NC 27320-8888 | 2007-04-23 |
| 1104044569 | Rockingham Opportunities Corp | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 342 Cherokee Camp Rd, Reidsville, NC 27320-8888 | 2007-04-23 |
| 1013135474 | Rockingham Opportunities Corp | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 342 Cherokee Camp Rd, 342 Cherokee Camp Road, Reidsville, NC 27320-8888 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160552 | Residential Option Serving Adolescents, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2316 Carved Tree Ln, Charlotte, NC 28262-3154 | 2020-10-03 |
| 1649895442 | Gaynelle Bolling | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 Mandarin Dr, Pikeville, NC 27863-0020 | 2020-06-08 |
| 1851913966 | Johnson Enrichment Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 221 Foxcroft Dr, Winston Salem, NC 27103-5313 | 2020-05-12 |
| 1881230795 | Walter Jason Young Jr. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 412 Rook Rd, Charlotte, NC 28216-3199 | 2019-11-26 |
| 1750935839 | Heavenly Touch Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4720 Baileys Lake Rd Nw Apt 204, Concord, NC 28027-8576 | 2019-07-28 |
| 1073166245 | Making Kids Matter, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 409 Hunton Forest Dr Nw, Concord, NC 28027-0186 | 2019-07-17 |
| 1891357752 | New Hope for Tomorrow LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 528 Baldwin Rd, Burlington, NC 27217-1702 | 2019-07-01 |
| 1114490877 | Brenda Gail Cannon | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3105 Vico Ter, Raleigh, NC 27610-5951 | 2019-01-05 |
| 1356813455 | Lamesha Marshall | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3335 Avalon Ave, Charlotte, NC 28208-3378 | 2018-12-31 |
| 1487131074 | Ronald Anthony Benjamin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1594 Candace Ridge Dr, Greensboro, NC 27406-8595 | 2018-07-26 |
| Find all providers with the same taxonomy | ||||
| City | REIDSVILLE |
| Zip Code | 27320 |
Please comment or provide details below to improve the information on LEVAN PLACE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.